Centre for Immediate Care Services

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					                                                                Centre for Immediate Care Services

                                                                THE MERIT PROJECT

                                                                Medical Emergency Responders:
                                                                Integration & Training




                UCD School of Medicine & Medical Science             UCD School of Medicine & Medical Science
                   Centre for Immediate Care Services




AIMS                                                            Funding Agencies


•      Establishment of structures to train, equip,
       and integrate Registered Medical practitioners           •    Pre Hospital Emergency Care Council (PHECC)

•      Explore liaison structures between                       •    Taskforce on Sudden Cardiac Death

       Registered Medical Practitioners / Co-Ops                •    HSE

       Ambulance Service & Communities




          UCD Centre for Immediate Care Services




PHECC REQUEST – MAY 2006                                        DEFIB PURCHASE

                                                                EU TENDER COMPLETED JAN 2006
           “……. To embark on a joint exercise with the HSE
                                                                •    Technical capacity
    to come up with standard specifications for defibrillator
                                                                •    Clinical purpose
      types to suit various contexts e.g. Community First
                                                                •    Quality / reliability / performance
      Responders, Emergency Medical First Responders,
                                                                •    User friendliness
      Paramedics,
      Paramedics Advanced Paramedics and Registered
                                                                •    Battery
                      Medical Practitioners.”
                                                                •    Upgrade to new ALS guidelines
                                                                •    Cost



          UCD Centre for Immediate Care Services                     UCD Centre for Immediate Care Services
    WORKING GROUP SET UP                                             WELCOME TO THE FIRST NATIONAL DEFIB STANDARDS MEETING
                                                                                 BELFIELD - 13th SEPTEMBER 2007

     Prof Gerard Bury
     Mr Brendan Cavanagh
     Ms Mairéad Egan
     Dr Geoff King
     Ms Mary O’Brien
     Mr Charles O’Neill
     Mr Richard Shannon




           UCD Centre for Immediate Care Services




    TERMS OF REFERENCE                                                 CONSULTATION GROUP SET UP

                                                                        •     Mr Frank Kelly, Principal Engineer, SVUH

    •      To report to MERIT Steering Committee                        •     Dr Niall MacAleenan, Medical Assessor of
    •                                                                         Medical Devices, IMB
    •      To complete task within three months                         •     Mr Frank McClintock, Assistant Director,
    •                                                                         National Hospitals Office
    •      To consult with relevant parties as necessary
    •                                                                   •     Ms Orla O’Dea, Procurement & Contracts
    •      To identify any associated issues of importance                    Manager, UCD
                                                                        •     Mr Patrick Pentony, ETC1 TC10 Executive
                                                                              Member, Head of Clinical Engineering &
                                                                              Medical Physics, Connolly Hospital


           UCD Centre for Immediate Care Services                            UCD Centre for Immediate Care Services




    CONTRIBUTORS

• Regional Training Officers / Ambulance Service Training Officers
• Paramedics / Advanced Paramedics
• Voluntary Organisations
• The Trade
• Registered Medical Practitioners / Consultants in Emergency
                                                    Medicine
• Specialist Nurses




           UCD Centre for Immediate Care Services
        PHECC CATEGORIES                                        ASSESSMENTS UNDER 2 BROAD
             1        CARDIAC FIRST RESPONDER                   HEADINGS
                                                                •   The Purchasing Process
2       EMERGENCY FIRST RESPONDER


                                                                •   Technical Specification
                         3       EMERGENCY MEDICAL TECHNICIAN


4       PARAMEDIC


                             5      ADVANCED PARAMEDIC


6       REGISTERED MEDICAL PRACTITIONER
                                                                    UCD Centre for Immediate Care Services


                       UCD Centre for Immediate Care Services




    The purchasing process

    •       Tables 2-9
        •   Procurement thresholds
        •   Suggested documents to request from supplier
        •   Cost consideration – AED / training
        •   EU Directives
        •   Environmental considerations
        •   After sales considerations / procedures




            UCD Centre for Immediate Care Services




    Technical Specification
    •       6 levels of user with different needs
    •       Every AED feature to be assessed for each
            user as being either:…………..
B




            DEVELOPING TECHNOLOGIES

    • A number of “Developing Technologies” are being
      explored by the Industry
    • Some reflect widely accepted issues such as
      feedback on CPR Quality
    • Other features have little or no published evidence
        d fi d     f t    b     fit
      undefined or future benefits
    • An example is the fact that manufacturers use
      varying waveforms and energy levels in
      defibrillation and it is currently not possible to
      advise on the choice one over the other
    •
    Thank you for
y
your time and attention